Stone in the Neck with Stones, Moans and Groans
Published: 2021-01-11
Page: 16-21
Issue: 2021 - Volume 4 [Issue 1]
Mayilvaganan Sabaretnam *
Department of Endocrine Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Rae Bareilly Road, Lucknow- 226014, India.
D. Vnssvams Mahalakshmi
Department of Endocrine Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Rae Bareilly Road, Lucknow- 226014, India.
P. R. K. Bhargav
Consultant Endocrine Surgeon, India.
Aromal Chekavar
Consultant Endocrine Surgeon, India.
Neha Nigam
Department of Pathology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Rae Bareilly Road, Lucknow- 226014, India.
*Author to whom correspondence should be addressed.
Abstract
Parathyroid carcinoma is a rare cause of Primary Hyperparathyroidism and this endocrine tumor may be aggressive or indolent. This disease is an enigma and there are challenges in diagnosis, management and adjuvant treatment and the endocrine surgeon should have a high index of suspicion based on clinical findings and investigationsin the form of very high parathyroid hormone levels, hard tumour, large tumour, severe hypercalcemia, compressive symptoms and ultrasound or imaging features suggestive of parathyroid carcinoma which is the key to preoperative diagnosis and appropriate and intraoperative managent and we report a classical case of parathyroid carcinoma with Hyperparthyroidism induced hypercalcemic crisis and classical pathological findings.
Keywords: Parathyroid carcinoma, endocrine tumor, normocalcemic, hyperparthyroidism.